NPI 1033240429

Wal-Mart Stores East, L.P.

Organisation Eyewear Supplier Fairmont, WV

Practice location

Address: 1 Tygart Valley Mall, Fairmont, WV 26554-3430
Phone: (304) 363-0832
Mailing address: 702 SW 8th Street, Bentonvillle, AR 72716-0235

Authorised official

Name: David J. Simmons
Title: Npi Associate
Phone: (479) 277-9373

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in West Virginia →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in West Virginia →

Registry record

NPI: 1033240429
Entity type: Organization
NPI issued: 8 Mar 2007
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.